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TerminatedNCT01847014SYMPHONYextUpdated Aug 22, 2018Results posted

Clinical Study of Macitentan in Patients With PAH to Psychometrically Validate PAH-SYMPACT Instrument

A Phase 3 interventional study of Macitentan in Pulmonary Arterial Hypertension, sponsored by Actelion. Terminated at 2 sites in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2018-08-22.

Sponsored by Actelion · Phase 3, Interventional, and Treatment

Why this study was terminated
Protocol-defined criterion of macitentan availability achieved.
Phase
Phase 3
Study type
Interventional
Enrollment
4
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

SYMPHONY Extension is an extension of AC-055-401, a multi-center, open-label, single-arm, Phase 3b study of macitentan in patients with Pulmonary Arterial Hypertension to psychometrically validate the PAH-SYMPACT instrument. The objective is to assess the long-term safety of macitentan in subjects with PAH beyond the treatment in the AC-055-401 study.

02

Conditions studied

  • Pulmonary Arterial Hypertension

Keywords

  • Pulmonary Arterial Hypertension (PAH)
  • psychometric instrument
  • PAH-SYMPACT
03

In context

Pulmonary Arterial Hypertension

761 studies on the registry are indexed under Pulmonary Arterial Hypertension; 142 are open to participants now.

This study's enrollment of 4 is below the median of 38 across 509 interventional studies indexed under Pulmonary Arterial Hypertension.

Browse Pulmonary Arterial Hypertension studies →

Lead sponsor

Actelion is the lead sponsor of 140 studies on the registry; 1 is open to participants now.

Of its 27 completed or terminated interventional studies of FDA-regulated products, 24 (89%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Signed informed consent prior to any study-mandated procedure.
  • Patients with PAH who completed study AC-055-401
  • Women of childbearing potential must:
  • Have a negative urine pregnancy test at Visit 1 and agree to perform monthly serum pregnancy tests.
  • Agree to use two methods of contraception from Visit 1 until 1 month after study drug discontinuation.

Exclusion criteria

Exclusion Criteria:

  • Patients who prematurely discontinued study drug in study AC-055-401
  • Females who are lactating or pregnant (positive Visit 1 pregnancy test) or plan to become pregnant during the study
  • Known hypersensitivity to macitentan or its excipients or drugs of the same class
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
4 participants (actual)

Study arms

  • Experimental
    Macitentan

    Macitentan tablet, dose of 10 mg, once daily.

    Drug: Macitentan

Interventions

  • DrugMacitentan

    Macitentan tablet, dose of 10 mg, once daily.

    Also known as: ACT-064992

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What researchers measure

Primary outcomes

  1. Incident Rate of Adverse Events (AEs).

    Safety events are reported and documented as defined in study protocol from baseline to end of treatment period including safety follow-up visit.

    Time frame: From Visit 1 to Post-treatment safety follow-up visit (30 days after discontinuation of the study drug).

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Results

Posted Aug 22, 2018

Participant flow

All sites activated on the SYMPHONY AC-055-401 clinical trial were invited to participate in this open-label extension study. Due to meeting the study closure milestone, defined as the marketing of Opsumit on 18 OCT 2013, only two sites received activation. Recruitment occurred between Quarter 2 2013 and Quarter 3 2015.

Baseline Extension Visit
Participant flow — Baseline Extension Visit
MilestoneMacitentan
Started4
Completed4
Not completed0
Completion of Extension Study
Participant flow — Completion of Extension Study
MilestoneMacitentan
Started4
Completed0
Not completed4

Outcome measures

PrimaryIncident Rate of Adverse Events (AEs).

Safety events are reported and documented as defined in study protocol from baseline to end of treatment period including safety follow-up visit.

Time frame:
From Visit 1 to Post-treatment safety follow-up visit (30 days after discontinuation of the study drug).
Reported as:
Count of participants · Participants
Incident Rate of Adverse Events (AEs).
ParticipantsMacitentan
Participants with severe intensity AEs1
Participants with AEs3

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Macitentan0/4 (0%)1/4 (25%)3/4 (75%)
Most frequent serious events
Most frequent serious events
EventMacitentan
Chronic Obstructive Pulmonary Disease ExacerbationRespiratory, thoracic and mediastinal disorders1/4
Pulmonary Arterial Hypertension ExacerbationCardiac disorders1/4
Pulmonary Hypertension ExacerbationCardiac disorders1/4
Right Heart FailureCardiac disorders1/4
Most frequent other events
Showing 10 of 19
Most frequent other events
EventMacitentan
HyperlipidaemiaMetabolism and nutrition disorders1/4
HypokalaemiaMetabolism and nutrition disorders1/4
Type 2 Diabetes MellitusMetabolism and nutrition disorders1/4
HypoglycaemiaMetabolism and nutrition disorders1/4
Right Heart FailureCardiac disorders1/4
VertigoEar and labyrinth disorders1/4
DiarrhoeaGastrointestinal disorders1/4
NauseaGastrointestinal disorders1/4
VomitingGastrointestinal disorders1/4
Chest PainGeneral disorders1/4

Baseline characteristics

A total of four participants enrolled directly from the parent clinical trial, SYMPHONY AC-055-401 (NCT01841762). There was only one arm associated with the Extension study.

Age, Categorical
Age, Categorical(Participants)Macitentan
<=18 years0
Between 18 and 65 years3
>=65 years1
Age, Continuous
Age, Continuous(Years)Macitentan
Mean60.8 (55.0 to 66.5)
Sex: Female, Male
Sex: Female, Male(Participants)Macitentan
Female4
Male0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Macitentan
Hispanic or Latino0
Not Hispanic or Latino4
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Macitentan
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White3
More than one race0
Unknown or Not Reported0
08

Study locations

2 sites
  • Kentuckiana Pulmonary Associates
    Louisville, Kentucky, United States
  • The Carl & Edyth Lindner Center for Research & Education at The Christ Hospital
    Cincinnati, Ohio, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 22, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01847014
Lead sponsor
Actelion
Responsible party
Sponsor
First posted
May 6, 2013
Start date
Sep 1, 2013
Primary completion
Oct 1, 2015
Completion
Nov 30, 2017
Results posted
Aug 22, 2018
Last update
Aug 22, 2018

Study contacts

Alain Romero, MD
study chair · Actelion Pharmaceuticals US, Inc
Gary Palmer, MD, MBA
study chair · Actelion Pharmaceuticals US, Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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